Dr. Mike Starkey, DDS
  The Sedation Dentistry Practice



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Phantom toothache pain can be frustrating to the patient and to the dentist. Two sources of phantom dental pain are Heart attack and Trigeminal neuralgia or as the French say tic douloureux. Trigeminal neuralgia can be so strong it makes your eyes water and incapacitates you. There is no easy cure for it. Antiseizure medications help some. Surgery for others. An expert in this area is PJ Jannetta, MD neurosurgeon, University of Pittsburgh. The heart attack scenario is rare but possible. If these two problems can be ruled out in your case you may want to consider some pain control products from our dental Rx shop.

What are the causes of dry mouth? Temporary dry mouth can be due to emotional events, blockage of saliva duct with calculus, infection of the salivary glands.

Long term chronic dry mouth occurs with:
  • Taking of certain medications. Diuretics, antihistamines are examples.
  • The aging process itself Radiation therapy
  • Vitamin deficiency. Especially vitamin A.
  • Sjogren's Syndrome And or Lupus Erythematosis. SS is sometimes a manifestation of LE.

What are the consequences of dry mouth? The problems associated with dry mouth are six:

  1. Rampant caries and gum disease. That means you get a lot of cavities! It is not easy to control and becomes frustrating for both the patient and the dentist.
  2. If you wear dentures they are difficult to keep in place because saliva which is now in short supply acts as a seal to keep the denture held in place
  3. Digestive problems. It becomes difficult for your body to break down and process food.
  4. Bad breath!
  5. The annoying habit of licking lips and inside of cheeks in the company of others.
  6. Loss of taste sensation. Saliva is needed to create medium for taste buds.

There is generally no cure for chronic dry mouth. Here are three ways to reduce the problem.

  • Professional Help: If you are on meds see your MD for a consult. Perhaps change of medications will help.

     
  • Use sugar free candy or chewing gum. Use special saliva inducing tablets and/or artificial saliva.Two new drugs Salagen and Biotene offer much promise in alleviating xerostomia. Call us for the Rx.

     
  • If you have tried all that and still not very good results consider our saliva inducing retainer. It looks a lot like an orthodontic retainer. It is being tested for effectiveness and you can be part of the experiment. See the Smle Shop to learn more.
 
  Copyright 2006 Dr. Michael Starkey